Organization
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
General JJ Pershing HH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH E BARANSKI CPA (CFO)
(660) 258-1288
Entity
Organization
Contact information
Practice address
130 E LOCKLING AVE, BROOKFIELD, MO 64628-0408
(660) 258-2222
(660) 258-5668
Mailing address
130 E LOCKLING AVE, P.O. BOX 408, BROOKFIELD, MO 64628-0408
(660) 258-2222
(660) 258-5668
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
216-21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124
BLUE CROSS
MO
05
—
580570406
—
MO
Enumeration date
07/18/2006
Last updated
11/08/2023
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